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There are two parts to this:

1. Self-evaluation paper that addresses your growth as a nurse in relation to clinical experiences, education, maturity, and professionalism and how the PRICE (Professionalism, Respect, Integrity, Caring, Engagement) model has impacted you. This should be one to two pages long. 

2.  Professional Goals, how will you achieve them? One short term, One long term. This should be a page long.

No references needed.

 APA Style at least three references and citations. 

 References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical. 

PLEASE FOLLOW EACH STEP FROM 1 TO 5

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction 

2. Statement of the issue

3. Evidence supporting the issue 

4. Prediction of the future role of the nurse 

5. Conclusion 

Mr. E is a pleasant, 70-year-old, black, male

Source: Self, reliable source

Subjective:

Chief complaint: “I urinate frequently.”  

HPI:  Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.

Allergies: NKA

Current Mediations:

Multivitamin, daily

Aspirin, 81 mg, daily

Olmesartan, 20 mg daily

Atorvastatin, 10 mg daily

Diphenhydramine, 50 mg, at night                                                                                                                   

Pertinent History: Hypertension, hyperlipidemia, insomnia

Health Maintenance. Immunizations: Immunizations up to date

Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members

Social History: Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use. 

ROS: Incorporated into HPI

Objective:

VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.

Mr. E is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop

Respiratory: Clear to auscultation 

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly           

Neuro: CN 2-12 intact                                                                                                                        

Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated

Labs:

Test Name

Result

Units

Reference Range

Color

Yellow

Yellow

Clarity

Clear

Clear

Bilirubin

Negative

Negative

Specific Gravity

1.011

1.003-1.030

Blood

Negative

Negative

pH

7.5

4.5-8.0

Nitrite

Negative

Negative

Leukocyte esterase

Negative

Negative

Glucose

Negative

mg/dL

Negative

Ketones

Negative

mg/dL

Negative

Protein

Negative

mg/dL

Negative

WBC

Negative

/hpf

Negative

RBC

Negative

/hpf

Negative

Lab

Pt’s Result

Range

Units

Sodium

137

136-145

mmol/L

Potassium

4.7

3.5-5.1

mmol/L

Chloride

102

98-107

mmol/L

CO2

30

21-32

mmol/L

Glucose

92

70-99

mg/dL

BUN

7

6-25

mg/dL

Creat

1.6

.8-1.3

mg/dL

GFR

50

>60

Calcium

9.6

8.2-10.2

mg/dL

Total Protein

8.0

6.4-8.2

g/dL

Albumin

4.5

3.2-4.7

g/dL

Bilirubin

1.1

<1.1

mg/dL

Alkaline Phosphatase

94

26-137

U/L

AST

25

0-37

U/L

ALT

55

15-65

U/L

Pt’s results

Normal Range

Units

WBC

9.9

3.4 – 10.8

x10E3/uL

RBC

4.0

3.77 – 5.28

x10E6/uL

Hemoglobin

11.5

11.1 – 15.9

g/dL

Hematocrit

35.0

34.0 – 46.6

%

MCV

85

79 – 97

FL

MCH

28

26.6 – 33.0

Pg

MCHC

34

31.5 – 35.7

g/dL

RDW

14

12.3 – 15.4

%

Platelets

220

150 – 379

X10E3/uL

PSA

5.4

0-4.0

ng/mL

Assessment:

Diagnosis: Benign prostatic hyperplasia, ICD-10: N40.1

Please answer the following:

For the sake of this case study, the patient has confirmed BPH and prostate cancer has already been ruled out. Hence, please document your prescribed treatment plan for this patient (i.e. don’t state “refer to urology”).

1. What is your treatment plan (include specific dosage and frequency)? Why did you choose this treatment plan? Do you change any of his current medications?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your decision. Does the patient have any comorbidities that influenced your choice as well (1 point)? 

       Three months later, the patient notes improvement, but no resolution of symptoms. What would be your next prescribed treatment option (1 point)?

1. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

Emergency Plan for the Older Adult

Locate the American Red Cross in your area: http://www.redcross.org

• Identify what is necessary for emergency supplies to have on hand for a healthy older adult. Consider visiting with an older family member or friend to identify specific needs for this older adult (reasonable for this person)
•  Assist the older adult (OA) in creating their Personal Emergency Plan and contacts
•  Describe what the OA was surprised to need or what they seemed to predict on their own
•  Why is this important for OA singles or couples who live independently without services?
•  Complete at least two slides for each bullet point with a total of 10 slides

Assignment Expectations:

Length: Minimum of 10 content slides

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. The title/objective/reference slides do not count towards the minimum slide count for this assignment. 

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

What is a conceptual framework?

A conceptual framework is “a set of relatively abstract and general concepts that address the phenomena of central interest to a discipline, the propositions that broadly describe those concepts, and the propositions that state relatively abstract and general relations between two or more of the concepts” (Butts & Rich, 2018, p. 96).

Conceptual frameworks have a practical value because they guide research and practice. Each conceptual framework of nursing gives the disciple a unique perspective of the metaparadigm concept and provides a path for concrete theories.

Directions

In this assignment, you are going to locate a conceptual framework that you could use in advanced nursing practice. Explain how your chosen conceptual framework of nursing relates to the unique perspective of the metaparadigm concept of person/client, nurse, health, and environment and apply the value of a conceptual framework to advanced nursing roles. Keep in mind, that the conceptual framework is used to allow for practical applications of the metaparadigm concept that will lead to a concrete theory.

Assignment Details

For this Assignment, your paper must be 2 to 3 pages, not including the title and reference pages. Minimum requirement of at least five sources of support.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. 

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least five sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition 

HELLO I HAVE A DOCUMENT ATTACHED. PLEASE READ IT CAREFULLY AND ANSWER THE QUESTION USING APA FORMAT. PLEASE NO PLAGIARISM, I DO CHECK FOR PLAGIARISM MYSELF TOO BEFORE SUBMITTING THE ASSIGNMENT AND NO INTERNET SOURCES. USE ONLY SCHOLASTIC SOURCES. 

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

13219 – 2 pages within 15 hrs Instructions attached

Of the major health concerns and objectives in the United States identified by Healthy People 2020, which in your opinion has the most impact on the health of the individuals, families, and the community? Why? Base your response on the topics listed here: https://www.healthypeople.gov/2020/topics-objectives

 1 page 1 sentence for each question

1. What are the mechanisms that result in dyspnea?
2. Paroxysmal nocturnal dyspnea (PND) is a result of: what disorder?
3. _____ is generally relieved by sitting up in a forward-leaning position.
4. Kussmaul respirations may be characterized which respiratory pattern?
5. What is the pathophysiologic mechanism of Cheyne-Stokes respirations?
6. Cyanosis generally develops when _______ g/dL of hemoglobin is desaturated, regardless of hemoglobin concentration.
7. What do hypoventilation and hyperventilation do to PaCO2 levels?
8. What is clubbing?
9. How do high altitudes produce hypoxemia?
10. How do pulmonary edema and pulmonary fibrosis cause hypoxemia?
11. Alveolar dead space is a result of which disorder?
12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?
13. In _____ pleural effusion, the fluid is watery and diffuses out of the capillaries as a result of increased blood pressure or decreased capillary oncotic pressure.
14. What the causes of chest wall restriction?
15. _____ atelectasis is the collapse of lung tissue caused from the lack of collateral ventilation through the pores of Kohn.
16. In _____ bronchiectasis, both constrictions and dilations deform the bronchi.
17. What are some similarities between silicosis and asbestosis?
18. _____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.
19. What are the causes of pulmonary edema?
20. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.
21. In ARDS, inflammatory mediators such as proteolytic enzymes, oxygen free radicals, prostaglandins, leukotrienes, and platelet-activating factor are released by which cells?
22. What is the cause of pulmonary edema in ARDS?
23. In ARDS, what causes the alveoli and respiratory bronchioles to fill with fluid?
24. Which type of pulmonary disease requires more force to expire a volume of air?
25. Which immunoglobulin may contribute to the pathophysiology of asthma?
26. Which inflammatory mediators are produced in asthma?
27. _______ increases in asthma because of the effect of inflammatory cytokines, tumor necrosis factor-alpha (TNF-a), and IL-1.
28. What are the clinical manifestations of asthma?
29. The most successful treatment for chronic asthma begins with _______.
30. Which bacteria become embedded in the airway secretions in chronic bronchitis?
31. What are the clinical manifestations of chronic bronchitis?
32. _____ involves an abnormally enlarged gas-exchanged system and the destruction of alveolar walls.
33. What is the best way to delayed the progression of chronic bronchitis?
34. How does smoking contributes to emphysema?
35. What are the clinical manifestations of emphysema?
36. What is the most common route of lower respiratory tract infection?
37. What are the clinical manifestations of pneumonia?
38. In tuberculosis, what is activated to attack the bacilli?
39. What is a circumscribed area of suppuration and destruction of lung parenchyma called?
40. Pulmonary hypertension results from which alteration?
41. What are the clinical manifestations of pulmonary hypertension?

Chapter 37: Alterations of Pulmonary Function in Children

1. How does chest wall compliance in infants compare to adults?
2. Why is nasal congestion a serious threat to young infants?
3. The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born after _____ weeks of gestation.
4. Which type of croup is most common?
5. What are the clinical manifestations of croup?
6. What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
7. What is the primary cause of RDS of the newborn?
8. What is the primary problem in RDS of the newborn?
9. What is the sequence of events after atelectasis develops in respiratory distress syndrome of the newborn?
10. Bronchiolitis tends to occur during the first years of life and is most often caused by which infection?
11. What are the clinical manifestations of bacterial pneumonia in children?
12. Which immunoglobulin is present in childhood asthma?
13. Which T lymphocyte phenotype is the key determinant of childhood asthma?
14. Which cytokines activated in childhood asthma produce an allergic response?
15. Write a description of childhood asthma.
16. Write a description of acute respiratory distress syndrome (ARDS).
17. What do fibroblast growth factors cause in ARDS?
18. In ARDS, how does a diffuse pulmonary thrombosis contribute to pulmonary edema?
19. Write a description of cystic fibrosis.
20. What is the cause of cystic fibrosis (CF)?
21. What are the abnormalities in cytokines found in children with cystic fibrosis?
22. Sudden infant death syndrome (SIDS) occurs most often between _____ and _____ months of age.